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  • A condition in which the heart is unable to pump an adequate amount of blood to meet metabolic and physiological needs of body. Classified (classes I - IV) on basis of severity according to criteria set by New York Heart Association (NYHA) starting from no limitation of physical activity to slight or marked limitation, up to the inability to carry out any physical activity without discomfort. Clinical findings vary but include: dependent oedema, raised jugular venous pressure, hepatomegaly, pulmonary congestion/oedema, tachycardia, cardiomegaly, and dyspnoea. Ejection fraction is less than 35%.
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